关键词: 老年人, 诊断, 治疗 , 无症状性脑膜瘤

Abstract: 【Abstract】 Objective To summarize the clinical features and treatment experience in elderly patients with asymptomatic meningiomas. Methods The data of 58 elderly patients with asymptomatic meningiomas from March 2009 to March 2016 were retrospectively analyzed. Results Fifty-eight patients were included in the study and were followed up for ranging from 18 to 36 months. Of them, Twenty-one patients accepted surgery at the first diagnosis, 10 patients accepted γ radiosurgery, 12 patients accepted surgery in the follow-up period. The tumor body was not found to increase rapidly in all patients, including 15 patients without any therapy during follow-up. The tumor growth was not more than 10 mm. The patients did not leave long-term neurological dysfunction except 3 cases died of postoperative complications. Conclusions With regard to as asymptomatic meningioma of elderly patients, conservative treatment with close follow-up review for three to six months may be the best therapeutic strategy before surgery, lessening surgery-related complications and ensuring the quality of life.

Key words: Elderly patient, Asymptomatic meningioma, Therapy, Diagnose